HomeMy WebLinkAboutSeptic New 206 Long Hill Road TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No.
TO THE BUILDING DEPARTMENT: Date � 1 g6
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is subm' ed:
1. Owner of Property Address of Owner
2. Location of Propert - Z06 Lot. No.
3. Type of Structure No. of Bedrooms
(Dwzernlses_
g,Commercial Building,Store,et .) r4. Number of Families or Persons to Occy
5. Plumbing Fixtures: Water Closets 2' Urinals Lavat ies 2-- Bathtubs 6
Showers_ Kitchen Sinks / Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank — /`: - Material of Septic Tank AiP./�10-1.t1
7. Soil Conditions: Type of Soil Maximum ground water table
(Sand, ravel Clay,etc.)
8. If not served by public water supply: Distance from Owner's well f from adjacent wells
9. Distance to nearest water course, drainage ditch, storm drain or embankment
10. Percolation Tests: Time for 1" drop in soil test 7— r Classification of soil
11. Minimum square feet of effective seepage area required
12. Leaching System: Number of trenches Length Width Total
Other
Signatur �i,..
/(Licensed Install et)
(Sketch showing all minimum distances and other details required below)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
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PLOT PLAN FOR
JAMES MILKIE
SOUTH .NINDSOR, COIN.
Scale 1 "-40 ' Oet . 2611 964
Note ;
There is no b�iildir_g built .
Therefore there are no viol-
ations of'-.the zoni.nx; ordinances.
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TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to epair Individual Sewage Disposal System
Application No.
TO THE BUILDING DEPARTMENT: Date 19
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted:
1. Owner of Property &) //� �5'CL� Address of Owner Z
2. Location of Property t7 /S i Lot. No.
3. Type of Structur '", No. of Bedrooms
(Dwelling.Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets Urinals Lavatories Bathtubs
Showers Kitchen Sinks Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank Material of Septic Tank
7. Soil Conditions: Type of Soil Maximum ground water table
(Sand,Gravel,Clay,etc.)
8. If not served by public water supply: Distance from Owner's well from adjacent wells
9. Distance to nearest water course, drainage ditch, storm drain or embankment
10. Percolation Tests: Time for 1" drop in soil text Classification of soil
11. Minimum square feet of effective seepage area required
12. Leaching System: Number of trenches Length Width Total
Other !. E
Signature /wa ls, W 40et.et s..oilG
(Licensed Installer)
(Sketch showing all minimum distances and other details required below)
y
006 Cone H/44 . Rn,
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By